A7045 — Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
HCPCS Level II A-code · short descriptor: “Repl exhalation port for pap”
- Code system
- HCPCS Level II
- Family
- A — Medical & surgical supplies, ambulance
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
A7045 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.11 to $22.69 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $20.30 | — |
| AL | $14.62 | $20.35 |
| AR | $14.62 | $20.35 |
| AZ | $14.31 | $20.35 |
| CA | $15.67 | $20.35 |
| CO | $14.11 | $20.35 |
| CT | $16.69 | $20.35 |
| DC | $15.51 | $20.35 |
| DE | $15.51 | $20.35 |
| FL | $14.62 | $20.35 |
| GA | $14.62 | $20.35 |
| HI | $20.30 | — |
| IA | $14.53 | $20.35 |
| ID | $14.11 | $20.35 |
| IL | $16.07 | $20.35 |
| IN | $16.07 | $20.35 |
| KS | $14.53 | $20.35 |
| KY | $14.62 | $20.35 |
| LA | $14.62 | $20.35 |
| MA | $16.69 | $20.35 |
| MD | $15.51 | $20.35 |
| ME | $16.69 | $20.35 |
| MI | $16.07 | $20.35 |
| MN | $14.53 | $20.35 |
| MO | $14.53 | $20.35 |
| MS | $14.62 | $20.35 |
| MT | $14.11 | $20.35 |
| NC | $14.62 | $20.35 |
| ND | $14.53 | $20.35 |
| NE | $14.53 | $20.35 |
| NH | $16.69 | $20.35 |
| NJ | $15.51 | $20.35 |
| NM | $14.31 | $20.35 |
| NV | $15.67 | $20.35 |
| NY | $15.51 | $20.35 |
| OH | $16.07 | $20.35 |
| OK | $14.31 | $20.35 |
| OR | $15.67 | $20.35 |
| PA | $15.51 | $20.35 |
| PR | $22.69 | — |
| RI | $16.69 | $20.35 |
| SC | $14.62 | $20.35 |
| SD | $14.53 | $20.35 |
| TN | $14.62 | $20.35 |
| TX | $14.31 | $20.35 |
| UT | $14.11 | $20.35 |
| VA | $14.62 | $20.35 |
| VI | $20.30 | — |
| VT | $16.69 | $20.35 |
| WA | $15.67 | $20.35 |
| WI | $16.07 | $20.35 |
| WV | $14.62 | $20.35 |
| WY | $14.11 | $20.35 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $1.41 to $2.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.03 | — |
| AL | $1.46 | $2.03 |
| AR | $1.46 | $2.03 |
| AZ | $1.43 | $2.03 |
| CA | $1.57 | $2.03 |
| CO | $1.41 | $2.03 |
| CT | $1.67 | $2.03 |
| DC | $1.55 | $2.03 |
| DE | $1.55 | $2.03 |
| FL | $1.46 | $2.03 |
| GA | $1.46 | $2.03 |
| HI | $2.03 | — |
| IA | $1.45 | $2.03 |
| ID | $1.41 | $2.03 |
| IL | $1.61 | $2.03 |
| IN | $1.61 | $2.03 |
| KS | $1.45 | $2.03 |
| KY | $1.46 | $2.03 |
| LA | $1.46 | $2.03 |
| MA | $1.67 | $2.03 |
| MD | $1.55 | $2.03 |
| ME | $1.67 | $2.03 |
| MI | $1.61 | $2.03 |
| MN | $1.45 | $2.03 |
| MO | $1.45 | $2.03 |
| MS | $1.46 | $2.03 |
| MT | $1.41 | $2.03 |
| NC | $1.46 | $2.03 |
| ND | $1.45 | $2.03 |
| NE | $1.45 | $2.03 |
| NH | $1.67 | $2.03 |
| NJ | $1.55 | $2.03 |
| NM | $1.43 | $2.03 |
| NV | $1.57 | $2.03 |
| NY | $1.55 | $2.03 |
| OH | $1.61 | $2.03 |
| OK | $1.43 | $2.03 |
| OR | $1.57 | $2.03 |
| PA | $1.55 | $2.03 |
| PR | $2.27 | — |
| RI | $1.67 | $2.03 |
| SC | $1.46 | $2.03 |
| SD | $1.45 | $2.03 |
| TN | $1.46 | $2.03 |
| TX | $1.43 | $2.03 |
| UT | $1.41 | $2.03 |
| VA | $1.46 | $2.03 |
| VI | $2.03 | — |
| VT | $1.67 | $2.03 |
| WA | $1.57 | $2.03 |
| WI | $1.61 | $2.03 |
| WV | $1.46 | $2.03 |
| WY | $1.41 | $2.03 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $10.58 to $17.03 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $15.23 | — |
| AL | $10.97 | $15.27 |
| AR | $10.97 | $15.27 |
| AZ | $10.73 | $15.27 |
| CA | $11.75 | $15.27 |
| CO | $10.58 | $15.27 |
| CT | $12.52 | $15.27 |
| DC | $11.63 | $15.27 |
| DE | $11.63 | $15.27 |
| FL | $10.97 | $15.27 |
| GA | $10.97 | $15.27 |
| HI | $15.23 | — |
| IA | $10.89 | $15.27 |
| ID | $10.58 | $15.27 |
| IL | $12.05 | $15.27 |
| IN | $12.05 | $15.27 |
| KS | $10.89 | $15.27 |
| KY | $10.97 | $15.27 |
| LA | $10.97 | $15.27 |
| MA | $12.52 | $15.27 |
| MD | $11.63 | $15.27 |
| ME | $12.52 | $15.27 |
| MI | $12.05 | $15.27 |
| MN | $10.89 | $15.27 |
| MO | $10.89 | $15.27 |
| MS | $10.97 | $15.27 |
| MT | $10.58 | $15.27 |
| NC | $10.97 | $15.27 |
| ND | $10.89 | $15.27 |
| NE | $10.89 | $15.27 |
| NH | $12.52 | $15.27 |
| NJ | $11.63 | $15.27 |
| NM | $10.73 | $15.27 |
| NV | $11.75 | $15.27 |
| NY | $11.63 | $15.27 |
| OH | $12.05 | $15.27 |
| OK | $10.73 | $15.27 |
| OR | $11.75 | $15.27 |
| PA | $11.63 | $15.27 |
| PR | $17.03 | — |
| RI | $12.52 | $15.27 |
| SC | $10.97 | $15.27 |
| SD | $10.89 | $15.27 |
| TN | $10.97 | $15.27 |
| TX | $10.73 | $15.27 |
| UT | $10.58 | $15.27 |
| VA | $10.97 | $15.27 |
| VI | $15.23 | — |
| VT | $12.52 | $15.27 |
| WA | $11.75 | $15.27 |
| WI | $12.05 | $15.27 |
| WV | $10.97 | $15.27 |
| WY | $10.58 | $15.27 |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related A-codes
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